2022-05-09T13:30:45-05:00 2021-06-30 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2020-07-01 260610562 Dallas County Indigent Care DALL 2149474510 1441 N Beckley Ave Dallas TX 75203 Craig Bjerke Chairman / President 2022-05-09 true Craig Bjerke 999009999 Andrew J Gray P01517705 2147775200 2020 2022-09-23 18:48:47Z Craig Bjerke 1441 N Beckley Ave Dallas TX 75203 2543 false X N/A X 2007 TX SUPPORTING THE PROVISION OF INDIGENT MEDICAL CARE IN THE DALLAS COMMUNITY. 4 2 0 2 0 0 278 460 0 0 151098 2083 0 0 151376 2543 0 0 0 0 0 0 0 0 4825845 3779404 4825845 3779404 -4674469 -3776861 7103365 3326504 0 0 7103365 3326504 DALLAS COUNTY INDIGENT CARE CORPORATION, (DCICC) A TEXAS NONPROFIT MEMBERSHIP CORPORATION, IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND, CONSISTENT THEREWITH, TO PROVIDE OR FACILITATE THE PROVISION OF HEALTHCARE FOR DALLAS COUNTY'S INDIGENT POPULATION. false false 3779404 0 0 THE CORPORATION'S PURPOSE IS TO PROVIDE HEALTHCARE TO INDIGENT PATIENTS IN DALLAS COUNTY, TEXAS. SPECIFICALLY, THE ORGANIZATION PROVIDES PHYSICIAN AND OTHER HEALTHCARE-RELATED SERVICES TO INDIGENT PATIENTS IN DALLAS COUNTY BY ENTERING INTO PROFESSIONAL SERVICES AGREEMENTS WITH HANDS-ON HEALTHCARE PROVIDER GROUPS TO FURNISH CARE IN LOCAL HOSPITALS AND CLINICS. 3779404 true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 4 2 false false false false true true false true false false false true true true true false false false false false X Craig Bjerke 2149474510 1441 N Beckley Ave Dallas TX 75203 Craig Bjerke CHAIR/PRESIDENT 2.0 56.0 X X 0 1213481 131916 KATHLEEN SWEENEY SECRETARY 2.0 0 X X 0 0 0 DAVID SALSBERRY DIRECTOR 2.0 40.0 X 0 605196 65438 PENNY CERMAK Director 2.0 0 X 0 0 0 0 1818677 197354 0 false true false Fresenius Medical Care 920 Winter St Waltham MA 024511457 Medical Services 3442959 Dallas Nephrology Associates 1420 Viceroy Drive Dallas TX 752352208 Medical Services 336438 2 460 460 0 0 0 0 0 2083 2083 0 0 0 0 0 0 0 0 0 2543 0 0 2083 X 3779404 3779404 0 0 0 0 0 0 3779404 3779404 0 0 403365 376504 6700000 2950000 0 0 0 0 0 0 0 0 0 0 0 0 7103365 3326504 0 0 0 0 0 0 X 7103365 3326504 7103365 3326504 7103365 3326504 -3776861 0 X false false false X X X 3 BAYLOR HEALTH CARE SYSTEM 751812652 3 true 0 0 METHODIST HOSPITALS OF DALLAS 750800661 3 true 0 0 TEXAS HEALTH RESOURCES 752702388 3 true 0 0 3 0 0 true true false false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) AS DESCRIBED IN THE FORM 1023 FOR THE DALLAS COUNTY INDIGENT CARE CORPORATION, BAYLOR HEALTH CARE SYSTEM, TEXAS HEALTH RESOURCES, and METHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM ARE TEXAS NON-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. Baylor Health Care System is a type II supporting organization under section 509(a)(3) which supports multiple hospital entities under IRC Section 170(B)(1)(A)(III). Texas Health Resources is a type III functionally integrated organization under section 509(a)(3) which supports multiple hospital entities under IRC Section 170(B)(1)(A)(III). METHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM IS A HOSPITAL DECRIBED IN SECTION 170(B)(1)(A)(III). false true false false false false false false false Craig Bjerke CHAIR/PRESIDENT 0 586590 0 584749 0 42142 0 96893 0 35023 0 1345397 0 24925 DAVID SALSBERRY DIRECTOR 0 363233 0 167188 0 74775 0 18335 0 47103 0 670634 0 17546 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DCICC DOES NOT PROVIDE ANY PROGRAM FOR PAYMENT OF ANY FORM OF COMPENSATION FOR ITS OFFICERS OR DIRECTORS. CERTAIN DCICC OFFICERS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED RETIREMENT PROGRAMS THROUGH THE RELATED MEMBER ORGANIZATIONS BY WHICH THEY ARE EMPLOYED. WHERE APPLICABLE THE PLANS PROVIDE AN ANNUAL BENEFIT (BASED ON PERCENTAGE OF COMPENSATION) TO THE EMPLOYEE THAT IS PAID TO THE EMPLOYEE ON A FUTURE DATE CONSISTENT WITH THE VESTING SCHEDULE UNDER THE PLAN. ALSO CERTAIN DCICC OFFICERS ARE ELIGIBLE TO PARTICIPATE IN LONG TERM INCENTIVE PLANS THAT ARE DESIGNED TO ALIGN THEIR COMPENSATION TO THE LONG TERM STRATEGY OF THEIR RESPECTIVE ORGANIZATION. To aid in retaining key employees, Methodist Hospitals of Dallas maintains a 457(f) retirement allowance plan which is available to officers, senior vice presidents, executive vice presidents and division presidents. Each year the plan provides credits, expressed as dollar amounts, determined by a percentage of each participant's base salary. The percentage for each participant is defined in the plan. The deferred allowance is deposited in a mutual fund account for each participant and invested in funds selected by the participant from a menu of available options. Vested benefits, with investments gains or losses, are paid to participants as regular taxable income. The plan defines provisions for distribution of benefits in the event of the participant's death or separation of employment prior to the elected vesting date. Texas Health Resources maintains a nonqualified retirement plan. PARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. PARTICIPANTS MUST BE EMPLOYED ON DEC 1 TO QUALIFY FOR THE CURRENT YEAR'S SERP BENEFIT UNLESS SEPARATION IS DUE TO DEATH, DISABILITY, RETIREMENT (AGE 65) OR EARLY RETIREMENT (SEPARATION FROM SERVICE AT OR AFTER AGE 55 WITH 75 YEARS OF COMBINED AGE AND CONTINUOUS SERVICE WITH THE SYSTEM). SERP BENEFITS ARE CALCULATED EACH DEC 1. VESTED BALANCES ARE TAXED TO THE EMPLOYEE AND THE NET BALANCES BEGIN ACCRUING EARNINGS. VESTED BALANCES ARE PAID IN A CASH LUMP SUM WITHIN A 90 DAY PERIOD COMMENCING ON THE EARLIER OF DEATH, DISABILITY, OR SEPARATION FROM SERVICE. THE DEFERRED PORTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. PAYMENT FOLLOWS THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY SEPARATION WHEN THE PARTICIPANT MUST WAIT 24 MONTHS TO RECEIVE THE PREVIOUSLY TAXED BENEFIT. Craig Bjerke and David Salsberry participated in their respective plans. THE AMOUNTS BELOW ARE DEFERRALS INCLUDED IN THE AMOUNT REPORTED ON SCHEDULE J, PART II, COLUMN C. CRAIG BJERKE -- $84,410 David Salsberry -- $19,500 THE AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F). Craig BJERKE -- $24,925 David Salsberry -- $14,782 Form 990, Part VI, Line 6 Classes of members or stockholders DCICC HAS AS ITS MEMBERS: (I) BAYLOR HEALTH CARE SYSTEM, A TEXAS NONPROFIT CORPORATION WHICH PROVIDES SUPPORT, DIRECTION, OVERSIGHT AND CENTRALIZED SERVICES FOR SEVERAL OF ITS NONPROFIT COMMUNITY HOSPITALS DESCRIBED IN SECTIONS 501(C)(3) AND 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE, (II) BAYLOR HEART AND VASCULAR CENTER, L.L.P., A TEXAS LIMITED LIABILITY PARTNERSHIP IN WHICH BAYLOR HEALTH CARE SYSTEM HAS A 51% CONTROLLING INTEREST, (III) NORTH TEXAS DIVISION, INC., A TEXAS CORPORATION, AND OWNER OF MEDICAL CITY HOSPITAL, A PROPRIETARY HOSPITAL, (IV) METHODIST HEALTH SYSTEM, A TEXAS NONPROFIT CORPORATION WHICH IS A NONPROFIT COMMUNITY HOSPITAL DESCRIBED IN SECTIONS 501(C)(3) AND 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE, AND (V) TEXAS HEALTH RESOURCES, A TEXAS NONPROFIT CORPORATION WHICH PROVIDES SUPPORT, DIRECTION, OVERSIGHT AND CENTRALIZED SERVICES FOR SEVERAL OF ITS NONPROFIT COMMUNITY HOSPITALS DESCRIBED IN SECTIONS 501(C)(3) AND 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. THE MEMBERS OF THE CORPORATION EACH OWN AND OPERATE HOSPITAL SYSTEMS LOCATED THROUGHOUT THE DALLAS FORT WORTH METROPLEX. THE MEMBERS RECOGNIZED THE NEED TO COLLABORATE IN SUPPORT OF THEIR MUTUAL INTEREST IN ADDRESSING INDIGENT PATIENT HEALTH CARE IN DALLAS COUNTY, TEXAS, AND FORMED THE CORPORATION TO FACILITATE THIS EFFORT. The Corporation has two classes of Members. The Members shall each have the same rights and responsibilities except that Baylor Heart and Vascular Center LLP shall not vote as a member and shall not appoint a director. Its interests will be represented by Baylor Health Care System, and by the director appointed by Baylor Health Care System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE TAX-EXEMPT MEMBER ORGANIZATIONS ELECT 75% OF THE DIRECTORS OF DCICC. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization's governing body did not authorize or form any committees during the tax year and therefore did not contemporaneously document a meeting. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is reviewed by the Chairman/Treasurer and the entire governing body is provided with a copy of Form 990 prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy SECTION 7.07 OF THE BYLAWS OF DCICC CONTAINS THE CORPORATION'S CONFLICT OF INTEREST POLICY. PURSUANT TO THE POLICY, ANY INTERESTED PERSON (INCLUDING DIRECTORS, OFFICERS AND COMMITTEE MEMBERS OF THE CORPORATION AND ANY OTHER ENTITY IN THE HEALTH CARE SYSTEM OF WHICH THE CORPORATION IS A PART) MUST DISCLOSE THE MATERIAL FACTS OF A TRANSACTION OR ARRANGEMENT IN WHICH THE INTERESTED PERSON HAS A DIRECT OR INDIRECT INTEREST. THE INTERESTED PERSON, AFTER DISCLOSING ALL OF THE MATERIAL FACTS, WOULD BE EXCUSED FROM THE MEETING OF THE BOARD OF DIRECTORS AND WOULD ABSTAIN FROM ALL DISCUSSION AND VOTING REGARDING THE TRANSACTION OR ARRANGEMENT. THE TRANSACTION OR ARRANGEMENT MUST THEN BE APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS OF THE CORPORATION. Form 990, Part VI, Line 19 Required documents available to the public ALL GOVERNING DOCUMENTS, ORGANIZATIONAL DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE PRINCIPAL OFFICE OF DCICC. Form 990, Part IX, Line 11g Other Fees Healthcare and Related Services - Total Expense: 3779404, Program Service Expense: 3779404, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part VI, Line 15 Lines 15a and 15b - Process to Establish Compensation LINES 15A & 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. THE ORGANIZATION DOES NOT COMPENSATE OFFICERS OR DIRECTORS; ALL COMPENSATION REPORTED IS FROM A RELATED ENTITY. BAYLOR HEALTH CARE SYSTEM 2001 BRYAN STREET SUITE 2200 DALLAS TX 75201 751812652 HEALTH CARE TX 501(c)(3) Type II N/A false METHODIST HEALTH SYSTEM 1441 N BECKLEY AVE DALLAS TX 75203 750800661 HEALTH CARE TX 501(c)(3) 3 N/A false TEXAS HEALTH RESOURCES 612 E LAMAR BLVD ARLINGTON TX 76011 752702388 HEALTH CARE TX 501(c)(3) Type III-FI N/A false false false false false false false false false false false false false false false false false false false false